Organization
SOUTHWESTERN PRIVATE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY SNIDER RN (VICE PRESIDENT)
(405) 359-2074
Entity
Organization
Contact information
Practice address
408 N AUBURN AVE STE B, FARMINGTON, NM 87401-5816
(505) 326-6024
(505) 327-6923
Mailing address
408 N AUBURN AVE STE B, FARMINGTON, NM 87401-5816
(505) 326-6024
(505) 327-6923
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6547
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4365
—
NM
Enumeration date
03/21/2007
Last updated
08/22/2020
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